Facility Evaluation Report

Licensing Program Analyst (LPAs) Rose Ruppert and Hanna Gough arrived at the facility to conduct the required annual inspection and was greeted and granted entry by staff. LPAs met with Administrator (AD) Cynthia Figueroa and explained the purpose of the visit. The facility currently has fifty four residents in care.

The facility is a two-story building with a memory care unit, resident apartments, kitchen, great room, activity room, dining room, lobby, staff offices, medication room and an outdoor shaded seating area for resident use. LPAs observed the kitchen to be clean and free of vermin. LPAs observed the seven day non-perishable and two day perishable food supply on hand. LPAs observed the emergency food and water supply in a storage room. LPAs observed all resident apartments had the required components and furnishings. LPAs observed the water in resident bathrooms to be tested between 112.6-117.3 degrees Fahrenheit. LPAs observed the knives to be stored in the locked chef office when not in use making them inaccessible to residents in care. LPAs observed the centrally stored medication to be in the locked medication rooms made inaccessible to residents in care. LPAs observed toxins and chemicals to be locked and stored in the housekeeping rooms located on each floor and made inaccessible to residents in care. LPAs observed the outdoor space to be free of obstructions. LPAs observed the delayed egress in the memory care unit to be operational. LPAs observed an outdoor shaded space for resident use in the memory care unit. LPAs observed residents engaged in bingo and a resident council meeting during the course of the visit.

LPAs observed the last fire drill conducted on June 4, 2025. LPA observed the last fire inspection done on October 16, 2024 for the entire facilities fire and sprinkler systems. LPAs observed resident medication and no discrepancies were observed.